Individual provider Active NPI

Tiffany Myers, APRN, FNP-C

  • Family Nurse Practitioner
  • Okmulgee, OK
National Provider Identifier
1790309128
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200464 Issued in OK
Practice address
1020 E 8TH St
Okmulgee, OK 74447-4726
Phone
(918) 756-4233
Fax
(877) 403-5739
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 200464 OK Primary

Addresses

Primary practice location

1020 E 8TH St
Okmulgee, OK 74447-4726

Mailing address

1020 E 8TH St
Okmulgee, OK 74447-4726
Phone (918) 756-3114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623000315 OK Practitioner - Nurse Practitioner 5890196281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medrite Health LLCGroup PAC ID 9436417748, 4 clinicians

Practice addresses (Care Compare)

1020 E 8TH St
Okmulgee, OK 74447-4726
Phone (918) 756-3114

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medrite Health LLC Single Specialty CurrentSince Jun 1, 2021 Accepting new patients
Medrite Health LLC Single Specialty PastSince Jan 14, 2024 Accepting new patients

Locations

109 W 6th St
Okmulgee, OK 74447
Phone (918) 756-3114

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1790309128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474726",
            "telephone_number": "918-756-3114",
            "fax_number": "877-403-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474726",
            "telephone_number": "918-756-4233",
            "fax_number": "877-403-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "TIFFANY",
        "credential": "APRN,  FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "200464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

Verify at the official NPI Registry.